Individual provider Active NPI

Kimberly Ann Fox, PT, DPT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1770569824
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6079 Issued in NC
Practice address
1000 Centre Park Dr
Asheville, NC 28805
Phone
(828) 505-2664
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6079 NC Primary

Addresses

Primary practice location

1000 Centre Park Dr
Asheville, NC 28805

Mailing address

1000 Centre Park Dr
Asheville, NC 28805-1265
Phone (828) 505-2664

Other practice location 1

76 Peachtree Rd
Suite 204
Asheville, NC 28803-3395
Phone (828) 277-7547

Other practice location 2

226 Charlotte Hwy
Asheville, NC 28803-8628
Phone (828) 505-2664

Other practice location 3

15 Jane Jacobs Rd Ste 202
Black Mountain, NC 28711-6308
Phone (828) 505-2664

Other identifiers 2

IdentifierTypeStateIssuer
079TTOtherNCBCBS
7212760MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013001084 NC Practitioner - Physical Therapist in Private Practice 7517982960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avora LLCGroup PAC ID 9931385341, 12 clinicians

Practice addresses (Care Compare)

1000 Centrepark Dr
Asheville, NC 28805-1265
Phone (828) 505-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6079NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avora, LLC Physical Therapist CurrentSince Mar 11, 2011 Accepting new patients
Southeastern Health and Fitness Inc Physical Therapist Past Accepting new patients
Asheville Physical Therapy Past Accepting new patients
Asheville Physical Therapy, LLC Physical Therapist PastSince Nov 23, 2009 Accepting new patients

Locations

226 Charlotte Hwy
Asheville, NC 28803
Phone (828) 412-4126

1000 Centrepark Dr
Asheville, NC 28805
Phone (828) 255-8885

15 Jane Jacobs Rd
Ste 202
Black Mtn, NC 28711
Phone (828) 664-1600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1770569824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CENTRE PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288051265",
            "telephone_number": "828-505-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRE PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28805",
            "telephone_number": "828-505-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Peachtree Rd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033395",
            "country_code": "US",
            "telephone_number": "828-277-7547",
            "fax_number": "828-277-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Charlotte Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038628",
            "country_code": "US",
            "telephone_number": "828-505-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Jane Jacobs Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Black Mountain",
            "state": "NC",
            "postal_code": "287116308",
            "country_code": "US",
            "telephone_number": "828-505-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "079TT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.